CLINICAL CASES OF MATERNAL MORTALITY FROM SEPTIC COMPLICATIONS OF PUERPERIUM AFTER MASSIVE BLOOD LOSS

Abstract

The purpose of the study was to analyze maternal mortality cases associated with septic complications of the postpartum period after massive blood loss. The article presents clinical observations of five maternity patients who died from septic complications after massive blood loss. The main causes of massive obstetric bleeding were uterine hypotension and detachment of the normally located placenta. The decisive roles for the further prognosis of the disease are played by: timely provision of qualified medical care, active obstetric tactics, adequate replenishment of blood loss, resuscitation measures. Septic complications were added on the 5th-7th day after massive blood loss. The further deterioration of the condition of the maternity hospitals was due to the progression of septic complications, the increase in multiple organ failure. During microbiological examination, Acinetobacter baumanni, Klebsiella pneumonia, Pseudomonas aeruginosa with polyresistance were detected in maternity patients.

Keywords

• материнская смертность
• септические осложнения
• массивная кровопотеря
• геморрагический шок
• гипотония матки
• отслойка нормально-расположенной плаценты
• полирезистентность микрофлоры